Individual
BRIGITTE BASIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
521 BEACH 20 STREET, FAR ROCKAWAY, NY 11691
(718) 869-8822
(718) 474-2165
Mailing address
15020 71ST AVE APT 6L, FLUSHING, NY 11367-2118
(718) 474-2478
(718) 474-2165
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R038038-1
NY
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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